Guest guest Posted May 2, 2011 Report Share Posted May 2, 2011 I agree , if not a conspiracy, it's definitely deception. Just as the UK has a north/south divide over wealth, we have the informed/uninformed in medicine. Where would many of us be without the resources of the internet? I've often wondered whether TV producers are censored over highlighting the medical professions ineptitude and incompetence, because many documentaries are made on " cowboy " builders, plumbers, electricians and other tradesmen ripping off the end consumer? Bill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2011 Report Share Posted May 2, 2011 > > PS The links to related articles under the one posted above are equally scary. > Very scary. http://news.bbc.co.uk/1/hi/health/7965417.stm I had an appointment at a NHS hospital with the Professor quoted in this article. He told me he rarely prescribes T3 and never Armour or any other animal thyroid. He was quite happy to leave me with ill health on Levothyroxine to the point that I was applying for sickness benefit. I am self treating as I have a brain and I can work out for myself from this so called and I quote 'potentially misleading information available on the web.' which information is correct and how to apply it to myself. I sat in his clinic waiting room and could tell who was still ill. I spoke to a few patients just asking how long they had been coming to the clinic and it was years. Years of continuing ill health if you ask me. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2011 Report Share Posted May 2, 2011 Thyroid disorders 'misdiagnosed' http://news.bbc.co.uk/1/hi/health/7965417.stm People with suspected thyroid disorders are being mistreated and misinformed, experts have warned. British Thyroid Association doctors say some people are being given the wrong tests and the wrong treatment. That's because the Royal College of Physicians, the British Thyroid Association et al produced 'new' guidance on the diagnosing and management of primary hypothyroidism 2 years ago, telling doctors that ONLY thyroid function tests (TSH with a measure of T4)should be taken into account when trying to diagnose a patient's symptoms. They tell doctors they should not give a diagnosis if TSH is within the reference range of 0.5 to 10.0 - this range is the widest in the WORLD and is clearly stopping doctors from giving their patients a trial of thyroid hormone replacement. Should they DARE, they know they stand the chance of being watched closely with a possible reporting to the GMC. NHS doctors abide by expert guidelines - but the BTA says the problem comes when patients go outside the NHS. It's those patients who go " outside of the NHS " who are getting back their normal health. Why do we have almost 2200 member's joining our forum if the NHS was giving the correct information to doctors and doctors were giving them back their normal health.. This is clearly getting at Doctors such as Dr Peatfield, Dr Skinner, Dr Myhill and all the other doctors who DARE to diagnose and treat outside of the NHS guidelines. Around 3% of the UK population has an underactive thyroid, which should be diagnosed with a blood test and treated with a synthetic hormone. Around 25% of the UK population has an underactive thyroid. Signs should be taken into account as well as symptoms, as should basal temperature, symptoms, family history, past medical history and a thorough clinical examination. Note the mistake made above " ….which should be diagnosed with A blood test " TUT, TUT! An under-active thyroid, or hypothyroidism, develops when the thyroid gland produces too little thyroxine, and it is becoming more prevalent because of the ageing population. An under-active thyroid (rightly called " hypothyroidism " ) means an under active thyroid gland which is not secreting sufficient thyroid hormone. They forget that many thyroid glands ARE producing the correct level of thyroid hormone secretion so the blood tests (TSH, Free T4, free T3) show normal. They conveniently forget that some of these patients still have many of the symptoms of hypothyroidisms because the thyroid hormone being secreted is not being properly absorbed at the cellular level, and these patients are suffering with Euthyroid Hypometabolism, or resistance to thyroid hormone at the cellular level - so they need the ACTIVE thyroid hormone triiodothyronine (T3) either synthetic, or natural thyroid extract. Symptoms can include being very tired, feeling the cold, having difficulties with memory or concentration, weight gain and fertility problems. ….and many, many more - whether the thyroid gland is not secreting sufficient thyroid hormone or the thyroid hormone it IS secreting is not being properly utilised at the cellular level. These are symptoms that can mimic other conditions, and experts warn an incorrect diagnosis could mean some patients could suffer harmful effects from excess thyroid hormones, while other serious conditions may go undiagnosed. The Royal College of Physicians (RCP) recently set out guidance for how hypothyroidism should be diagnosed and treated in the UK. Remember that doctors can, according to the Department of Health' choose whatever 'guideline/guidance/statement they wish to use, even if has been written in another country. So long as a doctor can tell you, or anybody that should ask, WHY he has chosen that particular 'guideline/guidance/statement' on the diagnosis and management of hypothyroidism. Doctors in the UK DO NOT HAVE TO FOLLOW ANY GUIDELINE/GUIDANCE/STATEMENT WRITTEN BY THE RCP, THE BTA OR ANY OTHER ORGANISATION. It says the only accurate way to diagnose a thyroid disorder is via a blood test which measures hormone levels, and the only scientifically proven way of treating the condition is by topping up a patient's natural thyroxine levels with a synthetic form of the hormone. The RCP, BTA et al. 'statement' is ONLY accurate when measuring the secretion of the hormones thyroxine (T4) and triiodothyronine (T3)produced by the thyroid gland. These blood tests do NOT detect 'Type 2' Hypothyroidism, defined as peripheral resistance to thyroid hormones at the cellular level. But the BTA warns that information on the web and in the media about alternative ways of diagnosing and treating the condition are leading people to turn to alternative methods of diagnosis and treatments. But the TPA warns that there is misleading (and in parts), incorrect information on their web site and in their guidelines/guidance/statements on thyroid function testing and that endocrinologists should learn about the 'alternative' ways of diagnosi8ng and treating the condition as doctors used to diagnose and treat using natural desiccated thyroid extract, adding synthetic T3 to T4 or using synthetic T3 alone. It is BECAUSE patients suffering the symptoms and signs of hypothyroidism are OT regaining their optimal health on levothyroxine (T4) -alone, that patients are doing the necessary research and finding using these 'alternative' therapies is what gives them back their health. It says urine tests, saliva tests and measuring body temperature are not reliable ways of diagnosing the condition. The 24 hour urine test is more reliable than blood tests because this actually tests the level of thyroid hormone being used in the tissues and at the cellular level. The BTA thyroid function tests ONLY test the level of free TY4 and free T3 circulating in the blood. Basal body temperature testing is a good indication the patient is suffering with hypothyroidism but it is not 100% accurate. Confusion Dr Amit Allahabadia, the secretary of the BTA who wrote the editorial, said: " This is potentially an enormous problem, given that in any one year, one in four people in the United Kingdom have their thyroid function checked. What actually IS potentially an enormous problem is that doctors are taking no account of symptoms, signs, family history, the patient's medical history, testing for antibodies to the thyroid and not performing a thorough clinical examination - again, relying on the results of TSH (secreted by the pituitary gland) and a " measure of T4 " . It is well known that TSH testing in particular can be flawed. A search on PubMed showed 126 such cases. Unfortunately, TSH doesn’t always respond correctly to low thyroid hormone levels. If the actual thyroid hormones themselves (T4 and T3) are not checked, hypothyroidism can be missed. We're aware of several cases of hypothyroidism with low thyroid hormone production and a normal TSH level. He added: " I think it is essentially doctors who are outside the NHS [who] may be misdiagnosing the condition. I am almost certain it is doctors who work outside of the NHS 'guidelines/guidance/statements that are misdiagnosing the condition. NHS doctors are diagnosing depression, anxiety, sleep disorder, over-eating, fatigue, weight gain, constipation CFAS, ME, FM etc. Relying on TSH alone, even with a measure of free T4 misses a lot of cases of hypothyroidism, or Eythyroid Hypometabolism. Dr Allahabadia would do well to listen to these doctors who know how to return such patients to their optimal health. However, one notes that he does write " may be misdiagnosing " . Also, the BTA are using old data and a 'normal reference range' that is too large when determining whether or not the TSH level is normal. This means that many people are being told that they have a normal thyroid function when, according to the latest scientific standards, they are actually suffering from the symptoms of hypothyroidis. " Patients may go to see them when they think they have an under-active thyroid, or when tests have shown they have normal hormone levels but they still feel ill. " Of course they do, if the NHS refuses to give them a diagnosis and a trial of treatment of thyroxine, or thyroxine doesn't work for them, they do their research to find a doctor who does understand what s/he is doing outside of the NHS. Dr Allahabadia said he believed a " significant minority " of patients were affected, either directly through misdiagnosis or mistreatment or because they were being confused by inaccurate information. Members of TPA are being confused with inaccurate information given by the RCP, BTA et al. Professor Trainer, who chairs the clinical committee of the Society for Endocrinology which represents the specialists who treat thyroid disorders, said: " Our sympathy has to lie with the patient because there is potentially misleading information available on the web. Tis nice to know Professor Trainer's sympathy lies with the patient - this is good, but again, he is as responsible as all the other active members of the BTA committee for giving out potentially misleading information, which they make readily available on their web site. Rarely do they back up their statements on the diagnosing and management of thyroid disease with scientific evidence. " It can be confusing for patients, and it can be difficult for GPs when they are confronted with that information, which is why the RCP guidance was published. " Right on! It is confusing for patients and difficult for GP's when they are threatened that they should not give a diagnosis or prescribe any form of the active thyroid hormone T3 outside of their recommendations unless it has been approved by " an accredited endocrinologist " . This takes away autonomy from doctors. The RCP might have 'published' the 'guidance/statement - but the RCP was not the author. All the UK endocrine/thyroid associations authored that document and they knew they could get away with such a guidance/statement by hiding under the umbrella of the RCP's Royal Charter. As such, this cannot be challenged, not even by the Privy Counsel. Just my two pennies worth! Luv - Sheila Please see this latest 'news':- http://www.bbc.co.uk/news/health-13221928 If the medical profession were not so blinkered about the alternatives to thyroxine perhaps I might have regained more of my health and self and they might not find themselves in the position of having to deny treatment to patients as they age. PS The links to related articles under the one posted above are equally scary. Lovin the sunshine - must be the Vit D making us all feel better!! Regards all Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2011 Report Share Posted May 2, 2011 Hi I think a few more responses are needed to this article -There is only one so far which is very good - gives everybody a chance to say what they think -google BMJ2011 342 .d2238.. No response would mean we agree with what is said ..Also it may help some of the medical profession to do a bit of thinking off the party line. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2011 Report Share Posted May 2, 2011 BMJ article on osteoporosis . Nobody has ever tried to scare me about this ..Maybe it is because I had a bilateral hip replacement a few years ago . One of the statement made is that with ageing thyroid hormone production decreases . therefore as we get older we require a smaller dose - {I think that I have got that about right] Now since many people are undertreated [still have hypo symptoms] how low a dose are they talking about??? This article really needs some replies -it is rather long but FREE . However the editorial by prof L is not free but perhaps long enough to reply to . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2011 Report Share Posted May 3, 2011 When the DoH are supposed to be making budget cuts, has it never dawned on them that they and the regulatory bodies are indirectly responsible for allowing the cost of sickness benefits spiralling out of control? This in turn also creates animosity between the employed (the taxpayer)and the unemployed (viewed as a benefit scrounger due to ill health)But, it could easily be avoided, as Dr P states, "treat the patient withMark 1 eyeball and the Mark 1 earhole. Look and listen." An analogy that springs to mind. What's the point in filling plaster cracks in the wall of a house until you've checked whether the house is subsiding and needs to be underpinned? Just another pennies worth? When we're supposed to be making budgetcuts. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2011 Report Share Posted May 3, 2011 Hello Bill, I guess it never will occur to them that they are indirectly responsible for allowing the cost of sickness benefits to spiral out of control. I wrote the attached letter to my MP (think it was about last October) hoping to get some action, but all I received was a letter from him to me saying he had approached Lansley (then Secretary of State for Health) who stated they would not be doing anything regarding this because they had already approached 'the experts' in this field (the British Thyroid Association and the Royal College of Physicians) and they have to take on board what they 'the experts' say. They absolutely refuse to see that it is the BTA and the RCP that are behind all of this mess. You might want to copy this letter yourself (putting in your name and address of course) and send it to your MP to see if you get any further than I have managed to get. Luv - Sheila When the DoH are supposed to be making budget cuts, has it never dawned on them that they and the regulatory bodies are indirectly responsible for allowing the cost of sickness benefits spiralling out of control? This in turn also creates animosity between the employed (the taxpayer) and the unemployed (viewed as a benefit scrounger due to ill health) But, it could easily be avoided, as Dr P states, " treat the patient with Mark 1 eyeball and the Mark 1 earhole. Look and listen. " An analogy that springs to mind. What's the point in filling plaster cracks in the wall of a house until you've checked whether the house is subsiding and needs to be underpinned? Just another pennies worth? When we're supposed to be making budget cuts. 1 of 1 File(s) Letter to MP.doc Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2011 Report Share Posted May 3, 2011 Hi Sheila, thanks for your letter. I'll mention it to my MP who is currently persuading the Coroner to open an inquest into my late partners death and liaising with Lansley. I have no political persuasion as we're wise enough to realise that it's the Whitehall Mandarins, and not the politicians, that run the country. The truth is that fewer drugs would be required for less medical conditions and Big Pharma would go bankrupt. Perhaps Pfizers have seen the light by closing their R & D at Sandwich, Kent? But, wasn't this a Greater Britain when, 50 years ago, we were manufacturing material goods instead of todays medical drugs industries? Bill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2011 Report Share Posted May 3, 2011 All doctors remind me of my old dog, he couldn't stand cats, when he was young he'd chase them, when he got old he would pointedly look in the other direction, his view was 'If I can't see it - it doesn't exist'..... Lately I have been standing up to my endo and gp. I've got to the stage where I am fed up with being treated like a naughty 5 year old who has nothing else on her mind than dressing up like a fairy and living in a dream world. (Not that I do that, its a metaphor!!) I asked my endo why I needed TSH, he tried to discharge me I asked my gp - she hadn't a clue I asked another gp who freely admitted he had no idea - after he'd gone through the bumf about measuring TSH to tell whether you've gone hyper rather than hypo. I'm simply fed up of the bull****! After my endo tried to discharge me I sent him 7 pages of references as to why my TSH was suppressed and the fact that it was not dangerous. I'm not seeing him till July but I bet he hasn't even looked up any of them!!! When you think about it, taking any prescription drug, no matter what for or for how long, has its risks, if we are grown up enough to read and understand the risks - why can't they be? Glynis Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2011 Report Share Posted May 3, 2011 You are so right Glynis. They prescribe me this new kind of insulin, the worst side effect can be death. They said they had to explain this to me so I am informed before they prescribe it.Yet, the very same endo would not prescribe T3 because of the 'dangers'. I do not think the danger of T3 is worse than the danger of death from the drug that they are quite happy to give me. Lilian Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2011 Report Share Posted May 4, 2011 >>>>'If I can't see it - it doesn't exist'..... <<<<I have always suspected that that is the reason why the labs wont do the T3 test when asked. My GP kept telling me I was being medicated adequately with thyroxine but only the TSH and T4 were done. My TSH was midway in its range and my T4 was right at the bottom but still within range. When I had a private blood test done I had the T3 done as well. When I showed the result (below range) to my GP I was told that they took no notice of T3. If the doctors are not going to take any notice of it, why should the labs spend time and money testing for it. All Ostriches with their heads in the sand. Lilian Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2011 Report Share Posted May 4, 2011 Hi Lilian- There must be numerous people like you and I who have TSH and T4 tests well within " reference range' but turn out to have under the range T3 which is really the only one that matters . I think the reluctance to do T3 tests has more to do with the fact that it shows the TSH is not a reliable test .. I have had two T3 tests done under the NHS {however only 2 out of 6 were completed] TSH -3.0 T3 -borderline TSH-3.6 T3 abnormal . For me I conclude the TSH test was and is a waste of time and misleading to me and the GP.As things are at the moment it seems necessary to 'look after our own health' as the medical profession are failing us in a way that at one time I did not believe possible . Quote Link to comment Share on other sites More sharing options...
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